Provider Demographics
NPI:1194711515
Name:COSMA, JULIA HELENA (MD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:HELENA
Last Name:COSMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 RIALTO BLVD STE 1-140
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8534
Mailing Address - Country:US
Mailing Address - Phone:512-730-3056
Mailing Address - Fax:888-730-3056
Practice Address - Street 1:7500 RIALTO BLVD STE 1-140
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8534
Practice Address - Country:US
Practice Address - Phone:512-730-3056
Practice Address - Fax:888-730-3056
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG150809207Q00000X
FLME74943207Q00000X, 208M00000X
LA305637207Q00000X
TXJ8498207Q00000X, 208M00000X
MO2023026935207R00000X, 208M00000X
IDM-14067207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX370850501Medicaid
FLG80774Medicare UPIN
FLE1268Medicare ID - Type Unspecified